Active NPI
David W. Lipscomb, PMHCNS-BC
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- LE-0000178
- Practice address
- 774 Christiana Rd
Suite 210B
Newark, DE 19713-4236 - Phone
- (302) 731-3017
- Fax
- (302) 266-9661
- NPI assigned
- Aug 20, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | LE-0000178 | DE | Primary |
Addresses
Primary practice location
774 Christiana Rd
Suite 210B
Newark, DE 19713-4236
Mailing address
774 Christiana Rd
Suite 210B
Newark, DE 19713-4236
Phone (302) 731-3017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LE-0000178 | DE | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services, Inc | Psychiatric/Mental Health, Adult | Current | Accepting new patients |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Past | Accepting new patients | |
| Christiana Care Health Services Inc | Past | Accepting new patients |
Locations
4735 Ogletown Stanton Rd
Ste 1201
Newark, DE 19713
Phone (302) 623-4330
100 Sunnyside Rd
#2
Smyrna, DE 19977
Phone (302) 653-1900
501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba CCHS Pmri
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
dba CCHS Psychiatry
- Psychiatry Physician
- Wilmington, DE
- NPI 1083699433
Psychiatric/Mental Health, Adult
-
dba CCHS Concord - Neurology
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
dba CCHS Infectious Disease
- Infectious Disease Physician
- Wilmington, DE
- NPI 1326022476
-
dba CCHS Cardiac Services
- Cardiovascular Disease Physician
- Newark, DE
- NPI 1003850504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250726400000",
"number": "1942432281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "774 CHRISTIANA RD",
"address_2": "SUITE 210B",
"city": "NEWARK",
"state": "DE",
"postal_code": "197134236",
"telephone_number": "302-731-3017",
"fax_number": "302-266-9661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "774 CHRISTIANA RD",
"address_2": "SUITE 210B",
"city": "NEWARK",
"state": "DE",
"postal_code": "197134236",
"telephone_number": "302-731-3017",
"fax_number": "302-266-9661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPSCOMB",
"first_name": "DAVID",
"middle_name": "W.",
"name_prefix": "Mr.",
"credential": "PMHCNS-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-20",
"last_updated": "2009-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "DE",
"license": "LE-0000178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.